| NPI | 1295053924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 106S00000X Behavior Technician |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OK 4180) |
| 171M00000X Case Manager/Care Coordinator | |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2010-05-05 |
| Last Update Date | 2021-06-04 |